The effect of HMOs on fee-for-service health care expenditures: evidence from medicare revisited

Amber Batata

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The effect of HMOs on fee-for-service health care expenditures: evidence from medicare revisited

机译：HMO对按服务收费医疗保健支出的影响：医疗保险的证据被重新审视

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This paper implements a new method for calculating the extent of selection in the aged Medicare HMO market. Selection is measured as the difference in average costs between new Medicare HMO enrollees and Medicare fee-for-service stayers with data from 1990 to 1994. Results suggest Medicare HMO enrollees were $1030 cheaper in their first year of enrollment. The effect is found entirely in Part A (hospital) expenditures, confirming selection is based on inpatient rather than outpatient or preventive care. These results are consistent with previous work.

机译：本文采用了一种新的方法来计算老年医疗保险HMO市场中的选择范围。选择的依据是1990年至1994年的新Medicare HMO登记者与Medicare服务付费住宿者之间的平均成本差异。结果显示，Medicare HMO登记者在入学的第一年便宜1030美元。效果完全在A部分（医院）支出中发现，确认选择是基于住院病人，而不是门诊病人或预防保健。这些结果与以前的工作是一致的。

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来源
《Journal of health economics》 |2004年第5期|p.951-963|共13页
作者
Amber Batata;
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作者单位

Health Economics, Judge Institute of Management, Cambridge University, Trumpington Street, Cambridge CB2 1AG, UK;

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原文格式 PDF
正文语种 eng
中图分类 f;
关键词
HMO; medicare; fee-for-service; selection;

机译：HMO;药物;服务费;选择;

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专利

1. Use of preventive care by elderly male veterans receiving care through the Veterans Health Administration, Medicare fee-for-service, and Medicare HMO plans. [J] . Keyhani S, Ross JS, Hebert P, American journal of public health . 2007,第12期

机译：通过退伍军人健康管理局，Medicare收费服务和Medicare HMO计划接受护理的年长男性退伍军人使用预防性护理。
2. The impact of a change in medicare reimbursement policy and HEDIS measures on stage at diagnosis among Medicare HMO and fee-for-service female breast cancer patients. [J] . Habermann EB, Virnig BA, Riley GF, Medical care . 2007,第8期

机译：医疗保险HMO和有偿服务的女性乳腺癌患者中，医疗保险报销政策和HEDIS措施变更对诊断阶段的影响。
3. Disability outcomes of older Medicare HMO enrollees and fee-for-service Medicare beneficiaries. [J] . Porell FW, Miltiades HB Journal of the American Geriatrics Society . 2001,第5期

机译：老年医疗保险HMO参与者和付费医疗保险受益人的残疾后果。
4. Time series forecasting of medicare fund expenditures based on historical data#x2014;Taking Dalian as an example [C] . Gang Qu, Cui Shengnan, Jiafu Tang Chinese Control and Decision Conference . 2014

机译：基于历史数据的医疗保险基金支出时间序列预测-以大连为例
5. A study of differences between social/HMO and other Medicare beneficiaries enrolled in Kaiser Permanente under capitation contracts regarding intermediate care facility use rates and expenditures. [D] . Boose, Lynn Allen. 1993

机译：根据中间合同设施使用率和支出的人头合同对参加Kaiser Permanente的社会/ HMO与其他Medicare受益人之间的差异进行了研究。
6. Use of Preventive Care by Elderly Male Veterans Receiving Care Through the Veterans Health Administration Medicare Fee-for-Service and Medicare HMO Plans [O] . Salomeh Keyhani, Joseph S. Ross, Paul Hebert, 2007

机译：通过退伍军人健康管理局Medicare服务收费和Medicare HMO计划接受护理的老年男性退伍军人使用预防保健
7. HMOs and Fee-For-Service Health Care Expenditures: Evidence from Medicare [O] . Laurence C. Baker 100

机译：HmOs和按服务付费的医疗保健支出：来自medicare的证据

The effect of HMOs on fee-for-service health care expenditures: evidence from medicare revisited

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